NPI | 1033341359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60098624) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174486) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2014-04-16 |